An Exploration of the Relational Autonomy of People with Substance Use Disorders: Constraints and Limitations.

The concept of relational autonomy was used to investigate how people with substance use disorders (SUDs) exercise their autonomy when using mental health services, according to stakeholders' perspectives. A qualitative study, using a critical approach, was conducted with participants from a mental...

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Publicado en:International Journal of Mental Health & Addiction Vol. 18; no. 2; pp. 277 - 293
Autores principales: Lago, Rozilaine Redi, Bógus, Cláudia Maria, Peter, Elizabeth
Formato: Artículo
Publicado: Springer Nature Apr2020
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
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        atl: An Exploration of the Relational Autonomy of People with Substance Use Disorders: Constraints and Limitations.
      aug:
        au:
          Lago, Rozilaine Redi
          Bógus, Cláudia Maria
          Peter, Elizabeth
        affil:
          Health Science and Sports Center, Federal University of Acre, Room no. 214, University Campus, BR 364 Road, Km 04, Industrial District, Rio Branco, AC, Brazil
          School of Public Health, University of São Paulo, São Paulo, Brazil
          L. S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, ON, Canada
      su:
        Substance-induced disorders
        Mental health services
        Mental health services use
        Medical records
        Mental health facilities
      sug:
        subj:
          Substance-induced disorders
          Mental health services
          Offices of Physicians, Mental Health Specialists
          Psychiatric and Substance Abuse Hospitals
          Offices of Mental Health Practitioners (except Physicians)
          Residential Mental Health and Substance Abuse Facilities
          Outpatient Mental Health and Substance Abuse Centers
          Mental health services use
          Medical records
          Mental health facilities
      keyword:
        Drug users
        Ethics
        Personal autonomy
        Relational autonomy
        Substance use disorders
        Drug users
        Ethics
        Personal autonomy
        Relational autonomy
        Substance use disorders
      ab: The concept of relational autonomy was used to investigate how people with substance use disorders (SUDs) exercise their autonomy when using mental health services, according to stakeholders' perspectives. A qualitative study, using a critical approach, was conducted with participants from a mental health service facility. We performed in-depth individual and group interviews with 15 participants, conducted observations, and analyzed patients' records and service reports. People with SUDs' autonomy were constrained by three relational dimensions: (a) the broader social context of coercion and its influence on the values and attitudes of stakeholders; (b) the oppressive systems and structures within the treatment setting; and (c) the limited personal capacity to exercise autonomy in people with SUDs. This work revealed the multidimensionality of people with SUDs' limitations in exercising their autonomy within a mental health care setting. An understanding of autonomy as relational could promote reflection and stimulate innovation when approaching patients within these facilities.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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